Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports
Background: Intramural pregnancy (IMP) is a special type of ectopic pregnancy. The cause of the disorder nor a uniform effective treatment plan, either pharmacological or surgical treatment, has been reported. Pharmacological treatments have been associated with poor clinical outcomes and a higher r...
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| Format: | Article |
| Language: | English |
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IMR Press
2023-05-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/50/5/10.31083/j.ceog5005104 |
| _version_ | 1797814457140772864 |
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| author | Haixia Xie Bao Liu Jianrong Huang |
| author_facet | Haixia Xie Bao Liu Jianrong Huang |
| author_sort | Haixia Xie |
| collection | DOAJ |
| description | Background: Intramural pregnancy (IMP) is a special type of ectopic pregnancy. The cause of the disorder nor a uniform effective treatment plan, either pharmacological or surgical treatment, has been reported. Pharmacological treatments have been associated with poor clinical outcomes and a higher risk of bleeding during treatment. Laparoscopic surgery for intramural pregnancy has been reported and timely diagnosis and early treatment by laparoscopy can reduce the adverse impact on female fertility. However, the safety and efficacy of laparoscopic treatment of intramural pregnancy has not been adequately evaluated. Methods: To evaluate the effectiveness of laparoscopic therapy of intramural pregnancy, we retrospectively selected clinical data from 12 patients with IMP treated by laparoscopy in our gynecology department (From January 2010 to December 2021). We collected clinical data from medical records, including: maternal age, gestational sac location, duration of amenorrhea, clinical symptoms, previous surgical history, pregnancy history, serum β-HCG (human chorionic gonadotropin) level, intraoperative bleeding and time of postoperative hospital stay. Results: All patients with intramural pregnancy who underwent laparoscopic surgery had their uterus preserved. Serum β-hCG decreased significantly after the operation and the average intraoperative blood loss was (50.9 ± 5.5) mL. The average length of stay was (5.4 ± 0.6) days resulting in an average hospital cost of 10,487 ± 548 RMB. Conclusions: Laparoscopic surgery is an effective and beneficial method for treating early intramural pregnancy preserving women’s uterus and protecting her future fertility. |
| first_indexed | 2024-03-13T08:08:01Z |
| format | Article |
| id | doaj.art-0ff39f0ec00d4545b325acf2ce5cbf40 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-03-13T08:08:01Z |
| publishDate | 2023-05-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-0ff39f0ec00d4545b325acf2ce5cbf402023-06-01T02:24:25ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-05-0150510410.31083/j.ceog5005104S0390-6663(23)02040-7Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case ReportsHaixia Xie0Bao Liu1Jianrong Huang2Department of Obstetrics and Gynecology, Women and Children's Hospital of Chongqing Medical University, 401147 Chongqing, ChinaDepartment of Obstetrics and Gynecology, Women and Children's Hospital of Chongqing Medical University, 401147 Chongqing, ChinaDepartment of Obstetrics and Gynecology, Women and Children's Hospital of Chongqing Medical University, 401147 Chongqing, ChinaBackground: Intramural pregnancy (IMP) is a special type of ectopic pregnancy. The cause of the disorder nor a uniform effective treatment plan, either pharmacological or surgical treatment, has been reported. Pharmacological treatments have been associated with poor clinical outcomes and a higher risk of bleeding during treatment. Laparoscopic surgery for intramural pregnancy has been reported and timely diagnosis and early treatment by laparoscopy can reduce the adverse impact on female fertility. However, the safety and efficacy of laparoscopic treatment of intramural pregnancy has not been adequately evaluated. Methods: To evaluate the effectiveness of laparoscopic therapy of intramural pregnancy, we retrospectively selected clinical data from 12 patients with IMP treated by laparoscopy in our gynecology department (From January 2010 to December 2021). We collected clinical data from medical records, including: maternal age, gestational sac location, duration of amenorrhea, clinical symptoms, previous surgical history, pregnancy history, serum β-HCG (human chorionic gonadotropin) level, intraoperative bleeding and time of postoperative hospital stay. Results: All patients with intramural pregnancy who underwent laparoscopic surgery had their uterus preserved. Serum β-hCG decreased significantly after the operation and the average intraoperative blood loss was (50.9 ± 5.5) mL. The average length of stay was (5.4 ± 0.6) days resulting in an average hospital cost of 10,487 ± 548 RMB. Conclusions: Laparoscopic surgery is an effective and beneficial method for treating early intramural pregnancy preserving women’s uterus and protecting her future fertility.https://www.imrpress.com/journal/CEOG/50/5/10.31083/j.ceog5005104intramural ectopic pregnancylaparoscopyhysteroscopy |
| spellingShingle | Haixia Xie Bao Liu Jianrong Huang Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports Clinical and Experimental Obstetrics & Gynecology intramural ectopic pregnancy laparoscopy hysteroscopy |
| title | Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports |
| title_full | Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports |
| title_fullStr | Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports |
| title_full_unstemmed | Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports |
| title_short | Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports |
| title_sort | conservative laparoscopic surgery for intramural ectopic pregnancy a summary of twelve case reports |
| topic | intramural ectopic pregnancy laparoscopy hysteroscopy |
| url | https://www.imrpress.com/journal/CEOG/50/5/10.31083/j.ceog5005104 |
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